Healthcare Provider Details

I. General information

NPI: 1447161922
Provider Name (Legal Business Name): VANTAKIDS THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13335 SW 124TH ST STE 214
MIAMI FL
33186-7515
US

IV. Provider business mailing address

13335 SW 124TH ST STE 214
MIAMI FL
33186-7515
US

V. Phone/Fax

Practice location:
  • Phone: 305-321-0110
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: MR. RAFAEL SIERRA JR.
Title or Position: OWNER
Credential:
Phone: 305-321-0110